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DR. WILLIS FAYNE GAFFNEY MD NPI 1295704203


NPI Information

NPI: 1295704203
Provider Name: DR. WILLIS FAYNE GAFFNEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 23D0933826

Address:
2939 S SHERIDAN RD
STANTON, MI
ZIP 48888
Phone: (989) 831-9009
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DR. Willis Fayne Gaffney, MD is a family medicine in Stanton, MI with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Willis Fayne Gaffney, MD NPI is 1295704203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

2939 S SHERIDAN RD
STANTON, MI
ZIP 48888-285
Phone: (989) 831-9009
Fax: (989) 831-9150

The NPI 1295704203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D0933826 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery4301050158MICHIGANNo
2207Q00000XFamily Medicine4301050158MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12729900MEDICAIDMICHIGAN
2MI6345MEDICARE UPINMICHIGAN
3E80226MEDICARE UPINMICHIGAN
40590034MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.